Mental Health Professionals must be informed regarding up to date evidence-based approaches to suicide risk and suicidality:

“IF YOU or SOMEONE YOU KNOW IS IN CRISIS, PLEASE CALL 911 or 988 or GO TO THE NEAREST EMERGENCY ROOM or HOSPITAL.”

Mental Health Professionals must be informed regarding up to date evidence-based approaches to suicide risk and suicidality:
Yes, it is essential for mental health professionals to stay informed about the latest evidence-based approaches to suicide risk and suicidality. This is because the understanding of suicide and its prevention evolves continuously as new research is conducted. Staying up to date ensures that practitioners are providing the best possible care to individuals at risk, using the most effective and scientifically validated methods.
Key reasons why mental health professionals need current knowledge include:
Improved Risk Assessment: Modern approaches emphasize the use of standardized, evidence-based tools for assessing suicide risk, which helps in identifying individuals at higher risk more accurately.
Personalized Care: New research often highlights the need for individualized treatment plans. Professionals can better address the specific needs of their clients, factoring in their history, circumstances, and unique risk factors.
Effective Intervention Strategies: As evidence emerges, new interventions are found to be more effective in reducing suicidality, including therapeutic techniques, pharmacological treatments, and crisis management.
Cultural Sensitivity: Up-to-date knowledge helps ensure that approaches are culturally competent and respectful of the diverse populations served, improving outcomes and engagement.
Prevention and Early Detection: Evidence-based practices contribute to improved strategies for suicide prevention, early intervention, and postvention, potentially saving lives.

Mental health professionals should engage in continuous education, attend relevant training, and regularly review the latest studies, clinical guidelines, and recommendations to ensure their practice aligns with the most effective and ethical methods available.

“IF YOU or SOMEONE YOU KNOW IS IN CRISIS, PLEASE CALL 911 or 988 or GO TO THE NEAREST EMERGENCY ROOM or HOSPITAL.”

Shervan K Shahhian

The sudden shock of a major event may disrupt normal Mental processes, why:

The sudden shock of a major event may disrupt normal Mental processes, why:

The sudden shock of a major event can disrupt normal mental processes for several reasons:

Fight-or-Flight Response: When confronted with a traumatic or unexpected event, the body activates the fight-or-flight response, releasing stress hormones like adrenaline and cortisol. These hormones prepare the body to respond to danger but can overwhelm the brain, impairing higher cognitive functions such as reasoning, memory, and decision-making.

Emotional Overload: A major event often triggers intense emotions such as fear, anger, or grief. These emotions can hijack our cognitive processes, making it difficult to think clearly or logically. The emotional center of the brain (the amygdala) takes over, leading to emotional responses that can disrupt rational thinking.

Disruption of Cognitive Balance: Our brains work best when we are in a state of equilibrium. A sudden shock can throw this balance off, making it difficult to concentrate, process information, or recall memories. Cognitive functions that rely on attention, focus, and working memory can become impaired.

Psychological Shock or Trauma: In the case of traumatic events, the mind may enter a state of shock as a defense mechanism. This can cause dissociation, a state where the person feels detached from reality, or denial, where they may have difficulty accepting the reality of the situation. These coping mechanisms can temporarily prevent normal processing of information.

Increased Stress: Chronic stress, especially from significant life events, can change the structure and function of the brain, particularly areas involved in memory, emotion, and cognition (e.g., the hippocampus and prefrontal cortex). This can cause long-term disruptions in mental processes.

Sleep Disruption: Stressful or traumatic events can disrupt sleep patterns, leading to further cognitive impairment. Sleep is essential for memory consolidation, emotional regulation, and overall mental clarity. Lack of rest can make it harder to process the event and regain cognitive equilibrium.

Sense of Helplessness or Loss of Control: Major events often challenge our sense of control or security. When we are suddenly faced with something we cannot change or anticipate, it can cause confusion and a sense of helplessness, impairing our ability to think through problems or make decisions.

All these factors combined can cause significant disruptions in our mental processes, and it may take time to process the event fully and regain normal cognitive functioning.

Shervan K Shahhian

Natural Disasters and Mental Health:

Natural Disasters and Mental Health:

Natural disasters, such as earthquakes, hurricanes, floods, and wildfires, can have significant impacts on mental health, both in the short and long term. These events can create widespread disruption, loss, and trauma, which may manifest in various psychological and emotional challenges for individuals and communities.

Immediate Mental Health Impacts

Acute Stress Reaction:

  • Feelings of fear, confusion, or disbelief.
  • Physical symptoms such as rapid heartbeat, difficulty breathing, or nausea.
  • Emotional numbness or heightened anxiety.

Grief and Loss:

  • The loss of loved ones, homes, possessions, or livelihoods can lead to profound grief and sadness.

Survivor’s Guilt:

  • Those who survive may feel guilt, particularly if others did not.

Long-Term Mental Health Consequences

Post-Traumatic Stress Disorder (PTSD):

  • Intrusive memories, nightmares, and heightened reactivity.
  • Avoidance of reminders of the disaster.

Depression:

  • Persistent sadness, hopelessness, or loss of interest in daily activities.

Anxiety Disorders:

  • Ongoing worry or fear about future disasters.

Substance Use Disorders:

  • Some may turn to alcohol or drugs as a coping mechanism.

Community Impact:

  • Shared trauma may lead to collective anxiety or distress in communities.

Vulnerable Populations

Certain groups are at higher risk of experiencing severe mental health impacts:

  • Children: Limited ability to process traumatic events.
  • Elderly: Physical frailty and isolation can exacerbate mental health issues.
  • First Responders: Repeated exposure to traumatic situations.
  • Low-Income Individuals: Fewer resources for recovery and resilience.

Coping Strategies and Support

Access to Mental Health Services:

  • Professional counseling or therapy for individuals and communities.
  • Crisis hotlines and support groups.

Community Support:

  • Building connections to foster resilience.
  • Community programs for disaster recovery.

Self-Care:

  • Mindfulness, exercise, and maintaining routines.

Education and Preparedness:

  • Teaching coping mechanisms and disaster preparedness can reduce anxiety.

Long-Term Recovery Programs:

  • Integrating mental health into broader disaster recovery efforts.

Call to Action

Governments, non-profits, and healthcare providers need to prioritize mental health as part of disaster response and recovery. Building resilient communities involves not just addressing physical needs but also ensuring psychological well-being.

Shervan K Shahhian

PTSD and the suffering of Combat Veterans:

24/7, confidential crisis support

for Veterans and their loved ones

https://www.veteranscrisisline.net/?msclkid=1d15e8b83b921e5287668fc6cbeb8456

PTSD and the suffering of Combat Veterans:

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after a person experiences or witnesses a traumatic event. For combat veterans, PTSD is a particularly significant issue due to the intense and often life-threatening experiences they face during military service.

Here’s a detailed overview:

Causes and Triggers for Combat Veterans

Exposure to Life-Threatening Events:

  • Combat veterans may witness the deaths of comrades, civilians, or enemies.
  • They often face situations involving imminent danger, such as ambushes or explosions.

Moral Injuries:

  • Guilt or shame resulting from actions taken (or not taken) during combat.
  • Conflicts between actions during war and personal moral values.

Physical Injuries and Trauma:

  • Surviving an injury or witnessing horrific injuries can lead to lasting psychological scars.

Loss of Comrades:

  • The grief of losing close friends in battle can deeply affect emotional well-being.

Symptoms of PTSD in Combat Veterans

PTSD symptoms can vary in severity and presentation but generally include:

Re-Experiencing Symptoms:

  • Flashbacks, nightmares, or intrusive memories of traumatic events.

Avoidance:

  • Avoiding places, people, or activities that remind them of the trauma.

Hyperarousal:

  • Increased irritability, hypervigilance, difficulty sleeping, or exaggerated startle responses.

Negative Thoughts and Mood:

  • Feelings of guilt, shame, emotional numbness, or detachment from others.

Impact on Combat Veterans

Relationships:

  • Strained family and interpersonal relationships due to emotional withdrawal, anger, or communication difficulties.

Employment:

  • Difficulty maintaining steady work due to PTSD symptoms or challenges reintegrating into civilian life.

Substance Abuse:

  • Some veterans turn to drugs or alcohol as a way to self-medicate and cope with their symptoms.

Suicide Risk:

  • Veterans with PTSD are at a higher risk for suicidal ideation and behavior.

Treatment Options

Therapy:

  • Cognitive Behavioral Therapy (CBT): Focuses on reframing negative thought patterns.
  • Prolonged Exposure Therapy: Helps veterans confront and desensitize themselves to traumatic memories.
  • Eye Movement Desensitization and Reprocessing (EMDR): Combines recall of traumatic events with guided eye movements.

Medications:

  • Antidepressants might be prescribed.

Support Groups:

  • Connecting with other veterans who have similar experiences can provide a sense of camaraderie and understanding.

Complementary Approaches:

  • Practices such as yoga, meditation, art therapy, or animal-assisted therapy can help with relaxation and emotional regulation.

Challenges to Treatment

  • Stigma: Many veterans are reluctant to seek help due to fear of being perceived as weak.
  • Access to Care: Geographic, financial, or systemic barriers can limit access to specialized mental health services.
  • Cultural Barriers: Military culture may emphasize resilience and discourage expressions of vulnerability.

Support and Advocacy

Veteran Affairs (VA) Programs:

  • Many countries, including the U.S., have dedicated programs for veterans to receive mental health care.

Community Organizations:

  • Nonprofits and veteran support groups play a vital role in providing resources and community for combat veterans.

Public Awareness:

  • Efforts to normalize conversations around PTSD and mental health can help reduce stigma and encourage veterans to seek care.

How to Support a Veteran with PTSD

  • Be Patient and Understanding:
  • Avoid judgment; listen without trying to “fix” the problem.
  • Encourage Professional Help:
  • Gently suggest seeking therapy or medical support.
  • Learn About PTSD:
  • Educating yourself can improve your ability to provide informed and empathetic support.
  • Foster a Safe Environment:
  • Avoid triggering environments and respect their need for personal space.

Combat veterans deserve compassion, understanding, and access to resources as they navigate the challenges of PTSD. Supporting them is not just a moral duty but also a way to honor their service and sacrifice.

Shervan K Shahhian

The benefits of Group Coaching in the Mental Health settings

Group coaching in mental health settings offers a variety of benefits for participants and facilitators. These benefits stem from the unique dynamics of group interactions and the supportive environment they create.

Here are some key advantages:

1. Shared Experiences and Normalization

  • Sense of Community: Group coaching fosters a sense of belonging as participants realize they are not alone in their challenges.
  • Normalization: Hearing others share similar struggles helps individuals feel understood and reduces feelings of isolation or stigma.

2. Cost-Effectiveness

  • Group sessions are often more affordable than one-on-one coaching, making mental health support accessible to more individuals.

3. Peer Support and Feedback

  • Participants benefit from diverse perspectives and insights shared by others in the group.
  • Peer support can inspire hope and motivate individuals to take action.

4. Skill Development in a Safe Environment

  • Group coaching provides a space to practice communication, social, and coping skills in real-time with others.
  • Facilitators can guide participants through exercises and discussions, helping them apply learned skills in their daily lives.

5. Enhanced Accountability and Motivation

  • Groups provide built-in accountability through shared goals and regular check-ins.
  • Witnessing others’ progress can encourage participants to stay committed to their own goals.

6. Empowerment Through Collective Wisdom

  • Participants draw on the collective knowledge and experiences of the group, which can lead to creative problem-solving and personal growth.
  • Sharing successes reinforces a sense of achievement and empowerment for both the individual and the group.

7. Therapeutic Effects of Giving

  • Contributing advice, support, or encouragement to others can be empowering and therapeutic for participants.

8. Diverse Perspectives

  • The variety of backgrounds and experiences in a group enriches discussions and widens understanding of mental health issues.

9. Structured yet Flexible Approach

  • Group coaching often follows a structured curriculum or framework, while allowing room for individual and group needs to guide discussions.

10. Efficiency for Coaches

  • Coaches can work with multiple clients simultaneously, maximizing their impact and time.

11. Adaptable to Various Needs

  • Group coaching can address a wide range of mental health topics, such as stress management, resilience building, or improving self-esteem.

Examples of Group Coaching Applications in Mental Health:

  • Mindfulness and Stress Reduction Groups: Teaching participants mindfulness techniques in a collaborative setting.
  • Resilience and Coping Skills: Helping individuals develop tools to manage anxiety, depression, or other challenges.
  • Behavioral Health Groups: Focused coaching for individuals with shared goals, such as weight management or addiction recovery.

Group coaching can be a powerful complement to individual therapy or coaching, offering unique benefits derived from group dynamics and shared human connection.

Shervan K Shahhian

How to manage feelings of Sadness & Fatigue:

How to manage feelings of Sadness & Fatigue:

“IF YOU or SOMEONE YOU KNOW IS IN CRISES, PLEASE CALL 911.” 

“CALL, TEXT, or CHAT 988 or GO TO THE NEAREST EMERGENCY ROOM or HOSPITAL.”

Managing feelings of sadness and fatigue can be challenging, but there are strategies that may help. These feelings could stem from physical, emotional, or situational causes, so addressing them holistically is often the most effective approach.

Here’s a breakdown of ways to manage them:

1. Acknowledge Your Feelings

  • Accept your emotions without judgment. Recognizing sadness or fatigue is the first step toward addressing them.
  • Journaling can help you explore what might be triggering these feelings.

2. Take Care of Your Body

  • Sleep: Ensure you’re getting 7–9 hours of restful sleep. Establish a consistent sleep schedule and bedtime routine.
  • Nutrition: Eat a balanced diet with plenty of fruits, vegetables, whole grains, and protein. Avoid excessive caffeine or sugar, which can cause energy crashes.
  • Exercise: Regular physical activity, even gentle exercises like walking or yoga, can boost mood and energy levels by releasing endorphins.

3. Practice Stress Management

  • Relaxation Techniques: Try mindfulness, meditation, deep breathing exercises, or progressive muscle relaxation.
  • Set boundaries: Avoid overcommitting to activities or responsibilities that drain your energy.
  • Break tasks into small steps: Focus on one thing at a time to prevent overwhelm.

4. Seek Social Support

  • Talk to someone: Share your feelings with a trusted friend, family member, or therapist.
  • Engage with your community: Participate in activities that connect you with others, whether it’s volunteering, joining a class, or spending time with loved ones.

5. Engage in Activities You Enjoy

  • Pursue hobbies or activities that bring you joy, even if they feel hard to start at first.
  • Experiment with creative outlets like painting, writing, or playing music to express your emotions.

6. Limit Negative Influences

  • Reduce exposure to news or social media if they make you feel worse.
  • Avoid substances like alcohol or drugs, which can exacerbate feelings of sadness and fatigue.

7. Consider Professional Help

  • Therapy: A mental health professional can help you process your emotions and develop coping strategies.
  • Medical Check-up: Persistent fatigue or sadness could indicate underlying conditions like depression, anxiety, or physical health issues (e.g., thyroid problems, anemia). Consult a doctor to rule out these possibilities.

8. Establish a Routine

  • A daily routine can help you regain a sense of control and stability. Include time for self-care, rest, and enjoyable activities.

9. Be Patient with Yourself

  • Healing and managing emotions take time. Celebrate small victories and practice self-compassion along the way.

If your feelings of sadness and fatigue persist or worsen, it’s essential to seek professional support. You don’t have to face this alone, and help is available.

Shervan K Shahhian

Clinical Hypnotherapy and Mental Suggestions:

Clinical Hypnotherapy and Mental Suggestions:

Clinical hypnotherapy is a therapeutic approach that uses hypnosis to help individuals address various psychological and behavioral issues. It involves inducing a relaxed state of focused attention, often referred to as a trance, during which the therapist can make suggestions to the subconscious mind to promote healing and change. This technique is commonly used to manage conditions like anxiety, stress, chronic pain, fears, smoking cessation, and weight loss.

Mental suggestions in the context of clinical hypnotherapy refer to the verbal cues or instructions given by the therapist to the client while they are in the hypnotic state. These suggestions are designed to guide the individual’s thoughts, behaviors, or perceptions in a positive direction. The underlying idea is that the subconscious mind is more open and receptive to suggestions during hypnosis, allowing for deep-seated changes that might be difficult to achieve through conscious efforts alone.

How Mental Suggestions Work:

  • Relaxation and focus: During hypnosis, the person enters a deep state of relaxation, reducing the influence of distractions. This creates an optimal environment for the mind to accept therapeutic suggestions.
  • Positive reinforcement: Suggestions are often framed positively to encourage self-empowerment, such as “You are confident and calm in social situations.”
  • Rewiring thought patterns: Suggestions can be used to reframe negative beliefs or behaviors, replacing them with more positive and adaptive responses.
  • Access to subconscious resources: In a relaxed, focused state, individuals may tap into subconscious resources and memories, leading to insights or new perspectives.

Applications of Hypnotherapy with Mental Suggestions:

  1. Stress and Anxiety Management: Hypnotherapy can help people manage stress by teaching relaxation techniques and providing positive suggestions to foster a sense of calm and control.
  2. Behavior Modification: Suggestions can be used to change habits, such as quitting smoking, managing overeating, or reducing procrastination.
  3. Emotional Healing: Mental suggestions can help resolve emotional issues by reframing negative memories or fostering self-compassion and emotional resilience.
  4. Performance Enhancement: Athletes or individuals aiming to improve their performance can use mental suggestions to increase confidence, focus, and mental clarity.

Here are some specific techniques and examples of mental suggestions used in clinical hypnotherapy to help clients achieve positive change:

1. Progressive Relaxation Induction

This is often used to help clients enter a hypnotic state. The therapist guides the client through a process of relaxing each muscle group from head to toe. Once the client is deeply relaxed, the therapist can begin introducing therapeutic suggestions.

Example of Mental Suggestion:

  • “With each breath you take, you feel more deeply relaxed and at peace.”
  • “As your body relaxes, your mind becomes calm and clear, open to positive changes.”

2. Direct Suggestions

Direct suggestions are straightforward and clear commands or positive affirmations designed to influence the subconscious mind. These suggestions are typically given once the person is in a trance-like state, allowing them to be more receptive.

Example of Mental Suggestion:

  • For stress reduction: “You are becoming more relaxed with every breath you take, and all stress melts away.”
  • For smoking cessation: “You find that the idea of smoking no longer appeals to you, and each day, it becomes easier to live without cigarettes.”

3. Post-hypnotic Suggestions

These are suggestions given during hypnosis that will take effect after the session ends. Post-hypnotic suggestions help create lasting change by influencing the client’s thoughts, behaviors, or emotional responses in their daily life.

Example of Mental Suggestion:

  • For confidence building: “Every time you enter a social situation, you will automatically feel confident and at ease, and you will express yourself clearly.”
  • For stress management: “Whenever you feel tension or stress building, you will take a deep breath and feel a sense of calm wash over you.”

4. Ego Strengthening

This technique involves reinforcing the person’s sense of self-worth and inner strength. It helps clients tap into their own resources and can build resilience in the face of challenges.

Example of Mental Suggestion:

  • “You are strong, capable, and confident. You have all the inner strength you need to handle any situation that comes your way.”
  • “You trust in your abilities, and you are worthy of all the success and happiness you desire.”

5. Age Regression and Reframing

In this technique, the therapist might guide the person back to earlier life experiences or memories that could be causing current issues. Once there, the therapist can offer reframing suggestions to help the individual view the experience in a more positive or empowering way.

Example of Mental Suggestion:

  • For past trauma: “You are safe now, and the experiences from the past no longer have control over you. You can heal from this and move forward with strength.”
  • For self-esteem issues: “You are capable of learning and growing from your past experiences. You have the power to rewrite your story and feel worthy of success.”

6. Visualization

Visualization uses imagery to help the person envision a positive future or desired outcome. This technique is often used to reinforce the goal the client wants to achieve, such as overcoming a fear, losing weight, or performing well in a job interview.

Example of Mental Suggestion:

  • For fear of public speaking: “Imagine yourself standing in front of an audience, calm and confident. You speak clearly and engage with the audience with ease.”
  • For weight loss: “Picture yourself enjoying healthy food, feeling satisfied and energized. You are taking care of your body and making choices that support your health.”

7. Confusion Technique

In some cases, a therapist may use confusion to break the client’s typical thought patterns and make the subconscious mind more receptive to change. This is typically done with more advanced or experienced clients who are familiar with hypnosis.

Example of Mental Suggestion:

  • “You may not know exactly when or how it happened, but you find that you no longer feel the urge to engage in old habits. It simply becomes easier not to do them, without effort.”

8. Future Pacing

This technique involves helping the client imagine a future scenario in which they have successfully achieved their goal. This helps anchor the positive change and build motivation.

Example of Mental Suggestion:

  • For overcoming procrastination: “Picture yourself waking up in the morning feeling motivated and focused. You easily complete tasks and feel a sense of accomplishment at the end of the day.”
  • For fear reduction: “Imagine yourself in the future, facing the situation that once scared you, and noticing how calm and confident you feel as you handle it effortlessly.”

9. Parts Therapy

In this technique, the therapist may work with the client’s subconscious mind to address internal conflicts between different parts of the self (e.g., the part that wants to change and the part that resists). This approach helps integrate these parts to work together for the individual’s well-being.

Example of Mental Suggestion:

  • “The part of you that seeks change is strong and determined. The part of you that feels hesitant is now ready to understand and support your goals, and together, you can create lasting transformation.”

10. Anchoring

This involves associating a specific physical action (like touching a finger or tapping the palm) with a positive state of mind or feeling. The anchor can then be used in real life to trigger the desired state whenever needed.

Example of Mental Suggestion:

  • “As you touch your fingers together, you immediately feel a wave of calmness and confidence rushing through you, ready to handle any challenge.”

Let’s walk through a hypnotherapy session that incorporates several of the techniques and mental suggestions we’ve discussed, to give you an idea of how these might be applied in practice. I’ll create an example where a client wants to manage stress and boost their confidence in social situations.

Example Hypnotherapy Session: Managing Stress and Building Confidence

Step 1: Induction (Progressive Relaxation)

The therapist will begin by guiding the client into a deeply relaxed state, using progressive muscle relaxation.

Therapist: “Take a deep breath in… and as you breathe out, allow your body to begin relaxing… Feel the tension in your muscles start to fade away. Now, focus on your feet… feel them relax… feel a wave of calmness spread up through your legs… Your calves, your thighs… relaxing more and more with each breath. Continue relaxing your body as I guide you through each area. Allow your body to become so relaxed, your mind feels calm and peaceful… You are in a safe place, where you can let go of stress and open yourself to positive changes.”

This continues until the client is in a deeply relaxed state, ready for the next stage.

Step 2: Deepening the Trance

The therapist will deepen the hypnotic state by encouraging the client to imagine they are going deeper into relaxation.

Therapist: “As you continue to relax, imagine yourself standing at the top of a staircase. With each step down, you feel more deeply relaxed and calm. I will count down from 10 to 1… and with each number, you will feel yourself sinking deeper into relaxation… 10… taking a step down… 9… deeper still… 8… calm and peaceful… all the way down to 1, feeling deeply relaxed now.”

Step 3: Direct Suggestions for Stress Reduction

Once the client is in a relaxed state, the therapist gives direct suggestions to help them release stress and feel calm.

Therapist: “Now, in this calm, relaxed state, every time you take a breath, you feel more and more at ease. You are letting go of all stress, all tension, and all worries. You are in control of your emotions, and you choose to feel calm, centered, and at peace. Any stress that you feel melts away with every breath. You are safe, and you feel completely relaxed and in control.”

Step 4: Confidence Building (Positive Suggestions)

Next, the therapist focuses on building the client’s confidence in social situations.

Therapist: “Imagine now that you are about to enter a social event, something you might have found stressful in the past. But now, you feel calm, confident, and at ease. As you walk into the room, you feel a sense of self-assurance. You smile naturally, knowing that you are comfortable and confident in social situations. You find it easy to engage with others, and they respond to you with warmth and respect. You feel empowered, confident, and completely at ease.”

Step 5: Post-hypnotic Suggestions

To reinforce the changes, the therapist introduces post-hypnotic suggestions that will take effect after the session ends.

Therapist: “Whenever you find yourself in a social situation in the future, you will immediately feel that sense of confidence and calmness return. You will walk into any room with your head held high, feeling at ease, comfortable, and in control. You will find it easy to speak, to connect, and to engage with others. This feeling of confidence and calmness is now a natural part of who you are.”

Step 6: Future Pacing

To solidify the changes and help the client envision their success, the therapist uses future pacing.

Therapist: “Now, imagine yourself in the future, a few weeks from now, at a social gathering. You walk in, feeling calm, confident, and empowered. You interact with others effortlessly, and you feel a deep sense of accomplishment. This is who you are now — a person who moves through social situations with ease and confidence. This future you is already within you, and it is just waiting to unfold.”

Step 7: Awakening from Trance

Finally, the therapist helps the client return to full awareness, bringing them back from the relaxed state.

Therapist: “As I count from 1 to 5, you will begin to bring yourself back to full awareness, feeling refreshed, confident, and alert… 1… becoming more aware… 2… feeling refreshed and energized… 3… slowly coming back… 4… your body is awake and alert… and 5… fully awake, feeling confident, calm, and empowered.”

Step 8: Reflection

Once the session ends, the therapist may ask the client how they are feeling.

Therapist: “How do you feel now? Do you feel more relaxed and confident than before?”

The client may describe feeling calmer, more at ease, and more confident in themselves, with a sense of relief from the stress that previously overwhelmed them.

Summary of Techniques and Mental Suggestions Used:

  1. Progressive Relaxation Induction to help the client relax deeply.
  2. Deepening the Trance through visualization (staircase).
  3. Direct Suggestions for stress reduction, guiding the client to release tension.
  4. Confidence Building suggestions to foster ease in social situations.
  5. Post-hypnotic Suggestions to ensure lasting changes in behavior and confidence.
  6. Future Pacing to envision future success and reinforce new behaviors.
  7. Awakening from the trance to bring the client back feeling empowered.

By the end of the session, the client has experienced a sense of deep relaxation and has received positive suggestions that will influence their behavior in social situations and help them manage stress. These suggestions will remain with them in the future, helping to reinforce the changes even after the session is complete.

Great! Let’s go through another example hypnotherapy session, but this time, we’ll focus on a different issue: overcoming a fear of public speaking. This is a common area where hypnotherapy can be incredibly helpful, as it works to reframe negative beliefs and behaviors, replacing them with more confident and positive responses.

Example Hypnotherapy Session: Overcoming the Fear of Public Speaking

Step 1: Induction (Progressive Relaxation)

Just like in the previous example, we start by helping the client relax using progressive relaxation.

Therapist: “Take a deep, slow breath in… and as you exhale, feel all the tension begin to leave your body… You are in a safe place, and as you continue to breathe deeply, your body becomes more and more relaxed… Focus now on your feet… feel them becoming warm and relaxed… moving up through your legs, your hips, your chest, your arms… all the way up to your head… Each breath makes you feel more at peace and more comfortable… You are in control, and you are completely relaxed.”

Step 2: Deepening the Trance

To deepen the relaxed state, we guide the client to imagine descending a staircase, going deeper into trance.

Therapist: “Now, imagine that you are standing at the top of a staircase. With each step you take, you are going deeper and deeper into relaxation. You feel calm and peaceful as I count from 10 down to 1… 10… stepping down, feeling more relaxed… 9… with each step, your body and mind become even more peaceful… 8… deeper still… 7… every muscle relaxed… 6… you feel safe and calm… 5… even deeper… 4… letting go of all tension… 3… your mind is quiet and calm… 2… so deeply relaxed… 1… fully relaxed, calm, and peaceful.”

Step 3: Addressing the Fear (Positive Suggestions)

Once the client is deeply relaxed, the therapist addresses the fear of public speaking with positive suggestions, reframing the experience.

Therapist: “Now, in this deeply relaxed state, I want you to imagine yourself standing in front of a group of people. This could be a small group, or it could be a large one. As you stand before them, you feel calm, confident, and self-assured. You realize that they are simply people, just like you, and they are there to listen to you, not to judge you. You feel at ease with them, and you speak clearly, with a calm and confident voice. You are comfortable in this situation. You trust in your ability to express your ideas with ease and confidence.”

Step 4: Reframing the Fear (Transforming Negative Beliefs)

At this point, the therapist can use reframing to address the negative beliefs the client has about public speaking, helping them see the situation in a new light.

Therapist: “In the past, you may have felt nervous or fearful about speaking in front of others. But now, you know that this fear is simply an old habit, a habit that no longer serves you. You are in control of your emotions, and you choose to feel calm and confident. Every time you speak in public, it becomes easier and more natural. You no longer fear the experience; instead, you look forward to it, knowing that you are fully capable.”

Step 5: Post-hypnotic Suggestions

To ensure that the changes last beyond the session, the therapist gives post-hypnotic suggestions.

Therapist: “From this moment on, whenever you find yourself in a situation where you need to speak in front of others, you will automatically feel calm, confident, and at ease. You will no longer experience anxiety or fear when standing before a group. Instead, you will feel confident, poised, and relaxed. Every time you speak, your confidence will grow, and you will feel more and more comfortable.”

Step 6: Future Pacing

Next, the therapist helps the client visualize themselves speaking in public in the future, reinforcing the success of the new behavior.

Therapist: “Now, imagine yourself in the future, standing confidently in front of an audience. You are calm, clear, and articulate. Your words flow easily, and you feel strong and empowered. You notice how the audience is engaged, and you feel a sense of accomplishment. This is your new reality — a confident speaker who is in control, calm, and poised. And every time you stand in front of a group, it becomes even easier.”

Step 7: Awakening from Trance

The therapist brings the client back to full awareness, reinforcing the positive changes they’ve experienced.

Therapist: “As I count from 1 to 5, you will slowly begin to come back to full awareness, bringing with you all the positive changes you have experienced today… 1… becoming more aware… 2… feeling refreshed and alert… 3… waking up feeling confident and empowered… 4… your body is awake and energized… and 5… fully awake, feeling confident and calm, ready to speak with ease.”

Step 8: Reflection

Once the session is complete, the therapist might ask the client how they are feeling.

Therapist: “How do you feel now? How do you feel about public speaking?”

The client may respond by saying they feel calmer, more confident, or less anxious about speaking in front of others. The positive suggestions are now embedded in their subconscious, and they are ready to put their new mindset into action.

Summary of Techniques and Mental Suggestions Used:

  1. Progressive Relaxation Induction to help the client relax deeply.
  2. Deepening the Trance using the staircase visualization.
  3. Positive Suggestions for feeling calm and confident in public speaking.
  4. Reframing Negative Beliefs by transforming the fear into self-assurance.
  5. Post-hypnotic Suggestions to ensure lasting change in public speaking situations.
  6. Future Pacing to visualize future success in public speaking.
  7. Awakening from the trance to return to full awareness with new confidence.

By the end of this session, the client will have reprogrammed their subconscious mind to feel more comfortable and confident when speaking in public. The therapeutic suggestions will continue to work even after the session, allowing the client to approach future public speaking engagements with ease and self-assurance.

Shervan K Shahhian

Group Therapy and the benefits of shared experiences:

Group Therapy and the benefits of shared experiences:

Group therapy is a form of psychotherapy where a small group of individuals meets under the guidance of a trained therapist to discuss and address specific issues or challenges. One of the defining features of group therapy is the shared experiences among participants, which can provide unique benefits that are not always possible in individual therapy.

Here are some key benefits of shared experiences in group therapy:

  1. Validation and Normalization
    Hearing others share similar struggles can help individuals realize they are not alone in their experiences.
    This validation can reduce feelings of isolation, shame, or stigma.
  2. Learning from Others
    Participants gain insights by listening to how others navigate challenges or cope with similar issues.
    Group members can serve as role models, demonstrating effective ways to address difficulties.
  3. Emotional Support
    Group therapy provides a safe space where members can express feelings and receive empathy from others who genuinely understand their struggles.
    The shared emotional support fosters a sense of community and connection.
  4. Development of Social Skills
    Group therapy encourages open communication, active listening, and constructive feedback.
    Participants can practice interpersonal skills in a supportive environment, which can enhance relationships outside the group.
  5. Different Perspectives
    Group members offer diverse perspectives on similar challenges, helping individuals to see their problems from new angles.
    This diversity can lead to innovative solutions or a broader understanding of their situations.
  6. Increased Self-Awareness
    Sharing experiences and hearing feedback from others can help participants recognize patterns in their behavior or thinking.
    This can lead to personal growth and self-improvement.
  7. Cost-Effectiveness
    Group therapy is often more affordable than individual therapy, making it accessible to more people.
  8. A Sense of Hope
    Observing others’ progress can inspire hope and motivate individuals to continue their own journeys toward healing and growth.
    Examples of Issues Addressed in Group Therapy
    Anxiety and depression
    Grief and loss
    Addiction recovery
    Relationship challenges
    Trauma and PTSD
    Coping with chronic illness
    Therapist’s Role
    The therapist ensures that the group remains a safe, respectful, and productive space. They guide discussions, help manage conflicts, and provide professional insights to complement the shared experiences of the group.

Shervan K Shahhian

How can Mental Health professionals help Overwhelmed Individuals:

How can Mental Health professionals help Overwhelmed Individuals:

Mental health professionals play a crucial role in supporting individuals who feel overwhelmed by providing effective strategies, guidance, and emotional support.

Here are some ways they can help:

Assessment and Diagnosis:

  • They can assess the individual’s emotional and mental state to identify underlying issues like anxiety, depression, burnout, or trauma that may contribute to their feeling of being overwhelmed.
  • Understanding the root cause allows the professional to tailor interventions effectively.

Therapeutic Techniques:

  • Cognitive Behavioral Therapy (CBT): This helps individuals identify negative thought patterns that exacerbate feelings of being overwhelmed and work on replacing them with more positive, realistic thinking.
  • Mindfulness and Relaxation Techniques: These strategies, like meditation, breathing exercises, and grounding techniques, help manage stress and anxiety.
  • Stress Management Techniques: Mental health professionals can teach ways to reduce and manage stress, such as time management, prioritization, and setting boundaries.

Emotional Support:

  • Listening without judgment allows individuals to express their feelings openly. Just talking through their overwhelming emotions can help them feel understood and less isolated.
  • Validation of their feelings is key to helping them feel supported.

Building Coping Skills:

  • Mental health professionals can teach coping mechanisms that enhance resilience. These could be behavioral skills or emotional regulation strategies that help people handle difficult situations better.

Goal Setting and Problem Solving:

  • Professionals can assist clients in breaking down complex problems or tasks into smaller, manageable steps, thus reducing the sense of being overwhelmed.
  • Setting achievable short-term goals can help restore a sense of control and accomplishment.

Self-Care Strategies:

  • Encouraging individuals to prioritize their physical and mental well-being through healthy routines, exercise, proper sleep, and nutrition can improve their ability to handle stress.

Providing Resources and Referrals:

  • Mental health professionals can connect individuals with support groups, crisis intervention services, or even other specialists if the individual requires more comprehensive support, such as medication or long-term care.

Promoting Healthy Relationships:

  • Often, feelings of being overwhelmed are linked to relationship issues. A mental health professional can guide individuals in setting boundaries, improving communication, and building healthier relationships that alleviate stress.

Psychotherapy for Underlying Trauma:

  • If past trauma contributes to the overwhelming feelings, trauma-focused therapies, such as EMDR (Eye Movement Desensitization and Reprocessing) or trauma-focused CBT, can help process and reduce emotional distress.

By helping individuals understand their emotions, build coping strategies, and improve their overall mental health, professionals can empower them to regain balance and control over their lives.

Shervan K Shahhian

How to manage feelings of Sadness & Fatigue:

How to manage feelings of Sadness & Fatigue:

Managing feelings of sadness and fatigue can be challenging, but there are strategies that may help. These feelings could stem from physical, emotional, or situational causes, so addressing them holistically is often the most effective approach.

Here’s a breakdown of ways to manage them:


1. Acknowledge Your Feelings

  • Accept your emotions without judgment. Recognizing sadness or fatigue is the first step toward addressing them.
  • Journaling can help you explore what might be triggering these feelings.

2. Take Care of Your Body

  • Sleep: Ensure you’re getting 7–9 hours of restful sleep. Establish a consistent sleep schedule and bedtime routine.
  • Nutrition: Eat a balanced diet with plenty of fruits, vegetables, whole grains, and protein. Avoid excessive caffeine or sugar, which can cause energy crashes.
  • Exercise: Regular physical activity, even gentle exercises like walking or yoga, can boost mood and energy levels by releasing endorphins.

3. Practice Stress Management

  • Relaxation Techniques: Try mindfulness, meditation, deep breathing exercises, or progressive muscle relaxation.
  • Set boundaries: Avoid overcommitting to activities or responsibilities that drain your energy.
  • Break tasks into small steps: Focus on one thing at a time to prevent overwhelm.

4. Seek Social Support

  • Talk to someone: Share your feelings with a trusted friend, family member, or therapist.
  • Engage with your community: Participate in activities that connect you with others, whether it’s volunteering, joining a class, or spending time with loved ones.

5. Engage in Activities You Enjoy

  • Pursue hobbies or activities that bring you joy, even if they feel hard to start at first.
  • Experiment with creative outlets like painting, writing, or playing music to express your emotions.

6. Limit Negative Influences

  • Reduce exposure to news or social media if they make you feel worse.
  • Avoid substances like alcohol or drugs, which can exacerbate feelings of sadness and fatigue.

7. Consider Professional Help

  • Therapy: A mental health professional can help you process your emotions and develop coping strategies.
  • Medical Check-up: Persistent fatigue or sadness could indicate underlying conditions like depression, anxiety, or physical health issues (e.g., thyroid problems, anemia). Consult a doctor to rule out these possibilities.

8. Establish a Routine

  • A daily routine can help you regain a sense of control and stability. Include time for self-care, rest, and enjoyable activities.

9. Be Patient with Yourself

  • Healing and managing emotions take time. Celebrate small victories and practice self-compassion along the way.

If your feelings of sadness and fatigue persist or worsen, it’s essential to seek professional support. You don’t have to face this alone, and help is available.

Shervan K Shahhian